Don’t be scared of the inborn errors of metabolism and endocrinology. They are really quite simple to screen for. Focus less on knowing the details of each one, and more on the general concept of what byproducts are building up and what substance is missing.

Cyanosis, difficulty feeding, failure to thrive, and shock can all be the presenting symptom of a cardiac abnormality. We will briefly overview cyanotic heart lesions, ductal dependent lesions, and CHF today.

Physicians get concerned about 4 serious bacterial infections (SBIs) when a baby or young child comes in with fever or possible sepsis. UTI, bacteremia, meningitis, and pneumonia. Start those antibiotics early, especially if the child appears sick.

Really sick kids and babies are some of the scariest and most difficult cases we get in Emergency Medicine. This week we’re going to start with the general approach to the less-sick pediatric patient. We will use this as the groundwork for future episodes.

A few months ago the American Academy of Pediatrics (AAP) released a set of guidelines on the management of a common pediatric condition formally known as ALTE (now known as BRUE). These babies used to ALL be admitted to the hospital for extensive testing. However, this is no longer the case. Now, the AAP divides these babies into 3 categories, HIGH risk, LOW risk, and NOT BRUE. I’ll break down this huge pediatrics topic and the new guidelines in this episode.